TN
What is the main symptom of trigeminal neuralgia?
Sharp, stabbing or intense pain
What is the first-line treatment of TN?
Anti-epileptics
Who decides what surgery should be done?
The patient
What is neuropathic pain?
Pain caused by disease/damage of the somatosensory nervous system
What is my birthday?
21 October
What can cause TN attacks?
Washing, Eating, Brushing teeth, breeze/air conditioning
What percent of patients show improvement from carbamazepine?
75%
How does microvascular decompression achieve?
Separates the compressive vascular loop from the trigeminal nerve
What are common causes of neuropathic pain?
- Phantom limb pain
- Peripheral neuropathies
- Compression neuropathies
- Trauma
What is my favourite colour?
Pink
How many divisions of the trigeminal nerve have to be affected?
More than one division
What is the main anti-epileptic drug used ?
Carbamazepine
Where are glycerol injections placed in order to achieve pain relief?
In Mekel's cave/Gassarian ganglion
What are the main treatments for neuropathic pain?
Anti-depressants and anti-epileptic drugs
What was my first degree?
Medical Physiology and Therapeutics
What neurological condition is a common cause of TN?
MS
What drug should not be used for treating it?
Phenytoin
What are advantages of ablative surgery?
Less invasive and can be done without general anaesthesia
What anti-epileptic is the most useful?
Pregabalin
What is my favourite food?
What is the main cause of TN?
Which drug has less drug interactions and lower adverse effects?
Oxcarbazepine
What are the three types of neuro-stimulation?
- Motor cortex stimulation
- Trigeminal branch stimulation
- Gasserian ganglion stimulation
What is the most effective drug used?
Amitriptyline
What are my dog's names?
Duffy and Floppy